Skills training in affective and interpersonal regulation followed by exposure: A phase-based treatment for PTSD related to childhood abuse
Skills training in affective and interpersonal regulation followed by exposure: A phase-based treatment for PTSD related to childhood abuse
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DOI：
10.1037//0022-006x.70.5.1067
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发表时间：
2002-10-01
影响因子：
5.9
通讯作者：
Han, H
中科院分区：
文献类型：
--
作者：
Cloitre, M;Koenen, KC;Han, H
58名患有与儿童期虐待有关的创伤后应激障碍（PTSD）的女性被随机分配到两个阶段的认知行为治疗或最小注意力等待名单。第1阶段治疗包括8次每周一次的情感和人际调节技能培训;第2阶段包括8次改良的长时间暴露。与等待名单上的人相比，积极治疗的参与者在情感调节问题，人际交往能力缺陷和PTSD症状方面表现出显着的改善。在3个月和9个月随访时保持增益。第一阶段治疗联盟和消极情绪调节技能预测第二阶段暴露成功减少PTSD，表明在慢性PTSD人群中暴露工作之前建立强大的治疗关系和情绪调节技能的价值。
Fifty-eight women with posttraumatic stress disorder (PTSD) related to childhood abuse were randomly assigned to a 2-phase cognitive-behavioral treatment or a minimal attention wait list. Phase 1 of treatment included 8 weekly sessions of skills training in affect and interpersonal regulation; Phase 2 included 8 sessions of modified prolonged exposure. Compared with those on wait list, participants in active treatment showed significant improvement in affect regulation problems, interpersonal skills deficits, and PTSD symptoms. Gains were maintained at 3- and 9-month follow-up. Phase 1 therapeutic alliance and negative mood regulation skills predicted Phase 2 exposure success in reducing PTSD, suggesting the value of establishing a strong therapeutic relationship and emotion regulation skills before exposure work among chronic PTSD populations.